Remote Acute Clearance and Benefits Specialist

Soleo Health; United States; Remote; USD 52,000 - 76,000; Full time

Benefits offered by this job

Competitive Wages

401(k) Match

Referral Bonus

Paid Time Off

Great Company Culture

Merit Increases

Paid Parental Leave

Insurance Plans

Disability Insurance

Education Assistance

Job summary

Soleo Health is seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and operate remotely across the USA. The role focuses on eligibility verification, coordinating benefits, and securing prior authorizations for infusion therapies.

Ideal candidates have acute home infusion experience, strong payer knowledge, and the ability to manage multiple referrals in a fast-paced setting while complying with HIPAA and company policies.

Qualifications

• High school diploma or equivalent.
• 2+ years in home infusion pharmacy or medical intake/reimbursement preferred.
• Knowledge of Medicare/Medicaid and managed care reimbursement guidelines.
• Ability to multi-task and maintain productivity in a fast-paced environment.
• HIPAA compliance knowledge.

Responsibilities

• Verify patient insurance benefits and coverage for medications, administration supplies, and infusion services.
• Document coinsurance, copays, deductibles, and authorization requirements.
• Calculate estimated patient financial responsibility based on benefits and contracts.
• Initiate and follow up on prior authorizations, pre-determination, or medical reviews.
• Review clinical documents for submission and communicate status to stakeholders.
• Assist enrollment for patients needing copay assistance programs when applicable.
• Prepare new patient start-of-care paperwork.

Skills

Acute infusion experience

Benefits verification

Prior authorization

Medicare/Medicaid knowledge

HIPAA compliance

Microsoft Excel

Communication

Multi-tasking

Education

High school diploma or equivalent

Tools

Microsoft Word

Job description

Soleo Health is seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and operate remotely across the USA. The role focuses on eligibility verification, coordinating benefits, and securing prior authorizations for infusion therapies.

Ideal candidates have acute home infusion experience, strong payer knowledge, and the ability to manage multiple referrals in a fast-paced setting while complying with HIPAA and company policies.